Medical Officers

Private Jobs in Medical & Healthcare
  • Mumbai, Maharashtra, Mumbai, Bengalore, Noida
  • Post Date : March 15, 2026
  • Apply Before : March 31, 2026
  • Salary: ₹28000.00 - ₹35000.00 / Monthly
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Job Detail

  • Job ID 500685
  • Qualification  Graduate / Under Graduate 
  • Career Level  Officer Student Student 
  • Experience Level  0 to 1 Years 1 to 3 Years 
  • Gender  Male Female 
  • Number of Post  25

Job Description

Purpose of role:

To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge.

 

Medical Officers

Locations : Bangalore/ Mumbai/ Noida

Experience : 0 – 3 years

Education : BAMS, BHMS, B Sc. Nursing & MBBS (India Reg Mandatory)

Roles and Responsibility

  • Check the medical admissibility of a claim by confirming the diagnosis and treatment details.
  • Scrutinize the claims, as per the terms and conditions of the insurance policy
  • Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc.
  • Understand the process difference between PA and an RI claim and verify the necessary details accordingly.
  • Verify the required documents for processing claims and raise an IR in case of an insufficiency.
  • Approve or deny the claims as per the terms and conditions within the TAT.
  • Handle escalations and responding to mails accordingly

Key Results and Outcomes driven by this role:

  • Error-free processing (100% Accuracy)
  • Maintaining TAT
  • Productivity (Achieve the daily targets)

Technical Competencies & Behavioral competencies:

  • Analytical Skills
  • Basic Computer knowledge
  • Type writing skills
  • Communication skills
  • Decision Making

How to Apply

  • The applications are invited online before 31st March 2026.
  • Please update your profile from Dashboard and check eligibility.
  • Click on APPLY to process online application.

Required skills